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T0: City Treasurer <br />REFUND AUTHORIZATION <br />You are he�eby authorized to refund the following: <br />PAYEE: Na,-�i,� u� G - - <br />ADDRESS: 9105 9rh pve SE - <br />AMOUNT: <br />REASON <br />�• <br />Y 32.00 <br />Date ]2/15/95 <br />Scoue of work chanoe_d after �ermir. was iGc„ed Refund 807 of the d+fference <br />in buildine nermit fees <br />:u�TONiER <br />ACCOUNT # nn�-���->>-�-s�i <br />This amount was received by the City of Everett on 10-1A-95 and recorded on <br />(da[el <br />permit or receipt number B4y�a9 <br />17/15/q5 _ <br />(derol <br />Refund by Check No. <br />_ Originai Receipt Attached <br />Account Debited: <br />Or refund noted on Treasurer's Office Copy <br />(Authorized Sipnatura) <br />Rnildin� (lffirial <br />(Title) <br />Date <br />